Paradigm At Stevens
204 WALTER ST, Yoakum, TX, 77995
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Paradigm Healthcare
- Certified beds
- 106 · avg 44 residents/day
- Total nursing staff turnover
- 48.8% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 311726
- Service type
- Medicare/medicaid
- Licensed capacity
- 106 beds
- Bed type breakdown
- 20 Medicare-only · 86 Medicaid/Medicare
- Current license effective
- January 1, 2024
- Current license expires
- January 1, 2027
- Initial license date
- July 25, 1972
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Oakbend Medical Center (COUNTY)
- Operator / manager
- Dewitt Nursing & Rehabilitation Llc
- Administrator
- Ms. Jessica A Ross
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Paradigm Healthcare chain — 18 facilities across 2 states. Chain-wide average overall rating 2.1 / 5.
Disclosed owners (3 on record)
- Aharon Shkop
Operational/managerial Control · since 2024
- Dewitt Nursing & Rehabilitation Llc
Operational/managerial Control · 100% · since 2024
- Joseph Freudenberger
W-2 Managing Employee · 100% · since 2024
Recent change of ownership
January 2024 (2 years ago) · acquired from Paradigm at Stevens
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 35)
- D0609·Dec 31, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0813·Sep 6, 2025Complaint
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- D0584·Sep 6, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D0921·Mar 7, 2025
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D0842·Mar 7, 2025
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F0812·Mar 7, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Mar 7, 2025
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E0755·Mar 7, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Fire-safety citations
11 Life-Safety-Code citations on file, including 1 at severity J–L. Most recent: Mar 7, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Paradigm At Stevens is a 106-bed nursing home in Yoakum, Texas, licensed to Oakbend Medical Center and managed by Dewitt Nursing & Rehabilitation LLC under the Paradigm Healthcare chain. CMS rates it 2 stars overall, with matching 2-star ratings on health inspections and staffing. Quality-of-care measures rate 4 stars. The facility is running at roughly 42% of licensed capacity — about 44 residents in a building certified for 106.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing 2 stars here. Each resident receives about 213 minutes of nursing care per day — roughly 28 minutes less than at a 4-star-staffing facility in Texas. Of that total, only 15 minutes comes from a registered nurse; the Texas threshold for 4-star RN staffing is 37 minutes per resident per day.
One administrator has turned over in the past year — an elevated level of leadership instability. Residents and frontline staff often feel leadership transitions most directly in the consistency of daily routines and care-plan follow-through.
The facility is operating at roughly 42% of its 106 licensed beds, with about 44 residents on any given day. That level of vacancy, paired with the 2-star overall and staffing ratings, is a combination worth exploring with the facility directly.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reasons for low occupancy
With roughly 44 residents in a 106-bed building, ask what is driving the vacancy and whether staffing levels are adjusted to reflect the current census.
Administrator transition details
One administrator has left in the past year — ask who is currently in the role, how long they have been in place, and whether another change is expected.
RN coverage on each shift
Reported RN hours average only 15 minutes per resident per day; ask which shifts have a registered nurse physically on the floor and for how many hours.
Gap between ratings and outcomes
Health inspections and staffing both rate 2 stars while quality measures rate 4 stars — ask how the facility explains that gap and what care processes drive the quality scores.
Management company's role on-site
The facility is licensed to Oakbend Medical Center but managed by Dewitt Nursing & Rehabilitation — ask which entity makes daily staffing and care decisions and who residents and families should contact with concerns.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.